ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2017
Does Perturbation Training Prevent Falls after Discharge from Stroke Rehabilitation? A Prospective Cohort Study with Historical Control.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05856045 (Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients), which is not on this map. Cited by 37 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients
Who cites it
37 citing papers in PubMed, 59 citations in OpenAlex.
- Functional Electrical Stimulation Combined With Reactive Balance Training for Individuals With Incomplete Spinal Cord Injury: A Randomised Clinical Trial.Neurorehabilitation and neural repair · 2026Trial
- Effect of mediolateral leg perturbations on walking balance in people with chronic stroke: A randomized controlled trial.PloS one · 2024Trial
- The experiences of people with incomplete spinal cord injury or disease during intensive balance training and the impact of the program: A qualitative study.Spinal cord · 2022Trial
- Can prior exposure to repeated non-paretic slips improve reactive responses on novel paretic slips among people with chronic stroke?Experimental brain research · 2022Trial
- The development and feasibility of treadmill-induced fall recovery training applied to individuals with chronic stroke.BMC neurology · 2019Trial
- A single session of trip-specific training modifies trunk control following treadmill induced balance perturbations in stroke survivors.Gait & posture · 2019Trial
- Does severity of motor impairment affect reactive adaptation and fall-risk in chronic stroke survivors?Journal of neuroengineering and rehabilitation · 2019Trial
- Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial.BMJ open · 2018Trial
- Article
- Comparison of Body Weight Support-Assisted Balance and Gait Training With or Without Balance Perturbations in Poststroke Rehabilitation: Multisite Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2025Article
- Does the rate of hip abductor and adductor muscle activation during weight transfer influence voluntary lateral stepping in chronic stroke?Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2025Article
- Article
- Comparison of professional and everyday wearable technology at different body positions in terms of recording gait perturbations.PLOS digital health · 2024Article
- Design and Performance Analysis of a Mecanum-Built Perturbation-Based Balance Training Device.Applied bionics and biomechanics · 2024Article
- Advances in balance training to prevent falls in stroke patients: a scoping review.Frontiers in neurology · 2024Article
- Reliability of force plate-based measures of standing balance in the sub-acute stage of post-stroke recovery.Heliyon · 2023Article
- Feasibility of challenging treadmill speed-dependent gait and perturbation-induced balance training in chronic stroke patients with low ambulation ability: a randomized controlled trial.Frontiers in neurology · 2023Article
- Perturbation-based balance training: Principles, mechanisms and implementation in clinical practice.Frontiers in sports and active living · 2022Review
- The Role of Fall Biomechanics in the Cause and Prevention of Bone Fractures in Older Adults.Current osteoporosis reports · 2021Review
- Posterior fall-recovery training applied to individuals with chronic stroke: A single-group intervention study.Clinical biomechanics (Bristol, Avon) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndividuals with stroke fall frequently, and no exercise intervention has been shown to prevent falls post stroke. Perturbation-based balance training (PBT), which involves practicing reactions to instability, shows promise for preventing falls in older adults and individuals with Parkinson's disease. This study aimed to determine if PBT during inpatient stroke rehabilitation can prevent falls after discharge into the community.
methodsIndividuals with subacute stroke completed PBT as part of routine inpatient rehabilitation (n = 31). Participants reported falls experienced in daily life for up to 6 months post discharge. Fall rates were compared to a matched historical control group (HIS) who did not complete PBT during inpatient rehabilitation.
resultsFive of 31 PBT participants, compared to 15 of 31 HIS participants, reported at least 1 fall. PBT participants reported 10 falls (.84 falls per person per year) whereas HIS participants reported 31 falls (2.0 falls per person per year). When controlled for follow-up duration and motor impairment, fall rates were lower in the PBT group than the HIS group (rate ratio: .36 [.15, .79]; P = .016).
conclusionsThese findings suggest that PBT is promising for reducing falls post stroke. While this was not a randomized controlled trial, this study may provide sufficient evidence for implementing PBT in stroke rehabilitation practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.